Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. A retrospective cohort based on the analysis of medical rec...

Full description

Saved in:

Bibliographic Details
Published in:	Revista da Escola de Enfermagem da U S P Vol. 53; p. e03416
Main Authors:	Ferretti-Rebustini, Renata Eloah de Lucena, Bispo, Nilmar da Silva, Alves, Winnie da Silva, Dias, Thiago Negreiro, Santoro, Cristiane Moretto, Padilha, Katia Grillo
Format:	Journal Article
Language:	English
Published:	Brazil Universidade de São Paulo, Escola de Enfermagem 01-01-2019 SciELO
Subjects:	Adult Aged Critical Care Nursing Intensive Care Units NURSING Patient Acuity Anciano Intensive Care Units Idoso Critical Care Nursing Unidades de Cuidados Intensivos Unidades de Terapia Intensiva Enfermería de Cuidados Críticos Patient Acuity Adulto Gravidade do Paciente Adult Aged Gravedad del Paciente Enfermagem de Cuidados Críticos
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. A retrospective cohort based on the analysis of medical records of individuals admitted to eight adult intensive care units in the city of São Paulo. The clinical characteristics at admission in relation to severity profile and intensity of care were analyzed through association and correlation tests. The predictors were identified by linear regression and the predictive capacity through the ROC curve. Of the 781 cases (41.1% from older adults), 56.2% were males with a mean age of 54.1 ± 17.3 years. The burden of the disease, the organic dysfunction and the number of devices were the predictors associated with greater severity among adults and older adults, in which the organic dysfunction had the highest predictive capacity (80%) in both groups. Adults and older adults presented a similar profile of severity and intensity of care in admission to the Intensive Care Unit. Organic dysfunction was the factor with the best ability to predict severity in adults and older adults.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0080-6234 1980-220X 1980-220X
DOI:	10.1590/S1980-220X2017051403416